Research Paper

Corruption Risk Assessment in State-guaranteed Medical Assistance Provided Free of charge and under Privileged Conditions

Chapter: Armenia | Year: 2016

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About the chapter:

The Transparency International Armenia mission is to promote good governance in Armenia through reducing corruption and strengthening democracy.

CPI Score: 35

CPI Rank: 105

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Theory of Change

Policy & Insititutional Change
Policy Adoption & Amendment
Change Type:



The purpose of the study was to identify and evaluate free and privileged corruptions risks within state-funded medical care to then develop a set of recommendations to eliminate corruption risks.


Initial stakeholder mapping was conducted in order to identify the most relevant actors and directories. Health sector reports, statistical data and related legislation were analyses. Interviews and focus groups were held with key stakeholders. 63 in-depth interviews were held with patients who had recently received free medical care. 10 medical organisations which received maximum state funding were selected for the study.


  • A number of problems were revealed in the course of the research regarding the types, basis and funding of medical assistance provided by hospital, procedures of providing hospital medical assistance, including doctor's referral and registration, citizens’ awareness rising, and complaint mechanisms, as well as oversight of hospital medical assistance and service and other systemic problems that cause corruption risks.


The findings of the research were discussed in the Ministry of Health and with different stakeholders, both the state bodies and CSOs. The findings and recommendations were submitted to Ministry of health and to the Government, as well as to the Anti-Corruption Council, which is chaired by the Prime Minister of Armenia. The most part of the recommendations were accepted and envisaged in the draft anti-corruption action plan of health sector.